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Promoting Wellness in Older Adults (Miller, 1990)
Health Promotion Model (Pender, 1996)

In the United States, a country with predominantly private health system, the older adults belonging to the highest quintile have twice the chance to consult a doctor compared to the older adults of the lowest quintile. In France, which has a universal system, such difference is not seen. ( Allin S, Masseria C, Mossialos E. Am J Public Health. 2009)

Socioeconomic characteristics can influence the patterns of use of health services. Persons with better socioeconomic conditions can obtain more easily health care services than poorer individuals. This social inequality in the access tends to be greater in countries with a private health system, in which persons have to pay for health care and insurance plans or out-of-pocket, than in countries with the universal system ( Doorslaer E, Masseria C, Koolman X CMAJ. 2006)

In addition to the individual characteristics, social inequalities in the access to and use of health services are also an expression of the characteristics of the health system. The availability of diagnostic and therapeutic equipment and services, the geographical distribution, the mechanisms for the financing of services, and their organization represent characteristics of the system that may facilitate or hinder the access to health services


     
 
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